Abstract：
Surgical removal of unexploded ordnance has been described in literature, usually in the context of the military. We describe a case of a 31-year-old gentleman who presented with a traumatic fireworks injury resulting in an unexploded three-inch aerial shell lodged in his left upper thigh. The sole regional Explosive Ordinance Disposal (EOD) expert was not available, so a local pyrotechnic engineer was contacted and he helped in identification of the firework. The firework was removed without the use of electrocautery, irrigation, or metal instrument contact after skin incision. The patient recovered well after prolonged wound healing. Creativity needs to be employed in low resource settings to identify all available resources that can impart knowledge when medical training is not enough. People with knowledge of explosives can be, as in our case, local pyrotechnics engineer or can be local cannon enthusiasts, veterans, or active military personnel at a nearby military base.
摘要：
文献中已经描述了手术去除未爆炸弹药，通常在军队的背景下。我们描述了一个31岁的绅士的案例，他遭受了创伤性烟花伤害，导致未爆炸的三英寸空中炮弹卡在他的左大腿上。没有唯一的区域爆炸条例处置（EOD）专家，所以联系了当地的烟火工程师，他帮助鉴定了烟花。烟火是在没有使用电灼器的情况下拆除的，灌溉,皮肤切口后或金属器械接触。患者在伤口长期愈合后恢复良好。需要在低资源环境中使用创造力，以识别在医学培训不足时可以传授知识的所有可用资源。有爆炸物知识的人可以，就像我们的情况一样，当地的烟火工程师或可以是当地的加农炮爱好者，退伍军人,或附近军事基地的现役军人。
